Sample Questionnaire

The undersigned is presently conducting a study entitled “The Level of Academic Performance of Multigrade Pupils in Angeles Elementary School during the School Year 2010 – 2011.”

In this connection, please feel free in answering the questionnaire – checklist. Please never leave any item unanswered. In accordance with the ethics of research, your answers will be treated with utmost confidentiality.

Thank you very much for your cooperation.

Very truly yours,

Jhon Paulo V. Oflaria Researcher

QUESTIONNAIRE – CHECKLIST FOR TEACHERS

Name: ____________________________________________________________

_

Address: ___________________________________________________________

Sex: _________

Date of Birth: __________

Salary Grade: __________

Years of teaching experience: (Please check)

1 to 5 years11 to 20 years

6 to 10 yearsmore than 20 years

Educational Qualification: (Please check)

Master’s Degree

Bachelor’s Degree with 20 or more units leading to Master’s Degree

Bachelor’s Degree with less than 20 M.A. / M. S. units

Bachelor’s Degree

Leon Guinto Memorial College, Inc.
Atimonan, Quezon

January 21, 2010

Dear Parent,

The undersigned is presently conducting a study entitled “The Level of Academic Performance of Multigrade Pupils in Angeles Elementary School during the School Year 2010 – 2011.”

In this connection, please feel free in answering the questionnaire – checklist. Please never leave any item unanswered. In accordance with the ethics of research, your answers will be treated with utmost confidentiality.

The undersigned is presently conducting a study entitled “The Level of Academic Performance of Multigrade Pupils in Angeles Elementary School during the School Year 2010 – 2011.”

In this connection, I further request to have a copy of selected pupil’s latest grades from their Report card and nutritional status. In accordance with the ethics of research, records will be treated with utmost confidentially.

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